Grant Details
Grant Number: |
7R01CA081495-04 Interpret this number |
Primary Investigator: |
Patrick, Kevin |
Organization: |
University Of California San Diego |
Project Title: |
Pace+-Counseling Adolescents for Exercise and Nutrition |
Fiscal Year: |
2003 |
Abstract
Description (adapted from the investigator's abstract): Improved physical
activity (PA) and nutrition behaviors in adolescents show great promise to
reduce risk of cancers and other disease. Fewer than 20 percent of adolescents
meet recommendations for fat or fruits and vegetable consumption, and only 50
percent of adolescent girls and 67 percent of boys meet recommendations for
vigorous PA. In this project we will evaluate an integrated clinical and
home-based intervention to improve PA and nutrition behaviors in adolescents.
PACE+ has 3 integrated components: a computer assessment and action planner;
provider counseling and 12 months of extended phone & mail contact. Pilot study
results (n=117) demonstrate that PACE+ shows substantial promise in maintaining
healthy and/or improving poor nutrition & PA behaviors. We will recruit 768
male and female adolescents age 11 through 15 seen in 6 healthcare settings.
Subjects will be randomly assigned within practices to 2 successive one-year
"doses" of PACE+ or a comparison condition involving counseling for sun
protection behaviors. PACE+ assesses 4 behaviors: 1) dietary fat, 2) fruits &
vegetable consumption, 3) moderate PA, and 4) vigorous PA. PACE+ also assesses
stage of change and psychosocial mediators of behavior change. PACE+ guides the
adolescent to select 1 nutrition and 1 PA target behavior for which they
develop action plans to discuss during the provider encounter. The provider
endorses or modifies the action plan and encourages participation in the
extended phone and mail intervention. Phone counseling, mailed and print
materials guide the adolescent to use cognitive & behavioral skills to make
changes in target nutrition and PA behaviors. At 6 months (midway through the
extended component of PACE+) participants are reassessed and receive
stage-appropriate intervention on the remaining 2 diet & PA behaviors. The sun
comparison condition has theory-based computer, provider, phone & mail
components controlling for attention and other non-specific intervention
effects. Primary behavioral outcomes, secondary outcomes, and selected
mediators and process variables will be measured prior to the first office
visit and at 6, 12, and 24 months. Primary outcomes will be measured using the
7-day physical activity recall and the 3-day food records of fruits, vegetables
and fat intake at 12 months. Secondary outcomes include adiposity, fitness,
BMI, psychosocial mediators of change, body image, and other measures. This
study will be the first to evaluate a combined physical activity and nutrition
intervention for youth that revolves around the primary health care setting.
The PACE+ intervention is particularly innovative in that 3
components--computer, provider counseling, and an extended home-based
intervention--are unified through a common theoretical framework.
Publications
A latent profile analysis of neighborhood recreation environments in relation to adolescent physical activity, sedentary time, and obesity.
Authors: Norman G.J.
, Adams M.A.
, Kerr J.
, Ryan S.
, Frank L.D.
, Roesch S.C.
.
Source: Journal Of Public Health Management And Practice : Jphmp, 2010 Sep-Oct; 16(5), p. 411-9.
PMID: 20689390
Related Citations
Reconceptualizing decisional balance in an adolescent sun protection intervention: mediating effects and theoretical interpretations.
Authors: Adams M.A.
, Norman G.J.
, Hovell M.F.
, Sallis J.F.
, Patrick K.
.
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2009 Mar; 28(2), p. 217-25.
PMID: 19290714
Related Citations
Validating stage of change measures for physical activity and dietary behaviors for overweight women.
Authors: Robinson A.H.
, Norman G.J.
, Sallis J.F.
, Calfas K.J.
, Rock C.L.
, Patrick K.
.
Source: International Journal Of Obesity (2005), 2008 Jul; 32(7), p. 1137-44.
PMID: 18490930
Related Citations
Exercise aids, neighborhood safety, and physical activity in adolescents and parents.
Authors: Kerr J.
, Norman G.J.
, Sallis J.F.
, Patrick K.
.
Source: Medicine And Science In Sports And Exercise, 2008 Jul; 40(7), p. 1244-8.
PMID: 18580403
Related Citations
Covariation Of Adolescent Physical Activity And Dietary Behaviors Over 12 Months
Authors: Rosenberg D.E.
, Norman G.J.
, Sallis J.F.
, Calfas K.J.
, Patrick K.
.
Source: The Journal Of Adolescent Health : Official Publication Of The Society For Adolescent Medicine, 2007 Nov; 41(5), p. 472-8.
PMID: 17950167
Related Citations
Body Image And Self-esteem Among Adolescents Undergoing An Intervention Targeting Dietary And Physical Activity Behaviors
Authors: Huang J.S.
, Norman G.J.
, Zabinski M.F.
, Calfas K.
, Patrick K.
.
Source: The Journal Of Adolescent Health : Official Publication Of The Society For Adolescent Medicine, 2007 Mar; 40(3), p. 245-51.
PMID: 17321425
Related Citations
Patterns And Correlates Of Physical Activity And Nutrition Behaviors In Adolescents
Authors: Sanchez A.
, Norman G.J.
, Sallis J.F.
, Calfas K.J.
, Cella J.
, Patrick K.
.
Source: American Journal Of Preventive Medicine, 2007 Feb; 32(2), p. 124-30.
PMID: 17197153
Related Citations
A randomized trial of a multicomponent intervention for adolescent sun protection behaviors.
Authors: Norman G.J.
, Adams M.A.
, Calfas K.J.
, Covin J.
, Sallis J.F.
, Rossi J.S.
, Redding C.A.
, Cella J.
, Patrick K.
.
Source: Archives Of Pediatrics & Adolescent Medicine, 2007 Feb; 161(2), p. 146-52.
PMID: 17283299
Related Citations
Psychosocial Correlates Of Fruit, Vegetable, And Dietary Fat Intake Among Adolescent Boys And Girls
Authors: Zabinski M.F.
, Daly T.
, Norman G.J.
, Rupp J.W.
, Calfas K.J.
, Sallis J.F.
, Patrick K.
.
Source: Journal Of The American Dietetic Association, 2006 Jun; 106(6), p. 814-21.
PMID: 16720122
Related Citations
Construct Validity Of Physical Activity And Sedentary Behaviors Staging Measures For Adolescents
Authors: Hagler A.S.
, Calfas K.J.
, Norman G.J.
, Sallis J.F.
, Patrick K.
.
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2006 Apr; 31(2), p. 186-93.
PMID: 16542134
Related Citations
Randomized Controlled Trial Of A Primary Care And Home-based Intervention For Physical Activity And Nutrition Behaviors: Pace+ For Adolescents
Authors: Patrick K.
, Calfas K.J.
, Norman G.J.
, Zabinski M.F.
, Sallis J.F.
, Rupp J.
, Covin J.
, Cella J.
.
Source: Archives Of Pediatrics & Adolescent Medicine, 2006 Feb; 160(2), p. 128-36.
PMID: 16461867
Related Citations
Comparability And Reliability Of Paper- And Computer-based Measures Of Psychosocial Constructs For Adolescent Fruit And Vegetable And Dietary Fat Intake
Authors: Hagler A.S.
, Norman G.J.
, Radick L.R.
, Calfas K.J.
, Sallis J.F.
.
Source: Journal Of The American Dietetic Association, 2005 Nov; 105(11), p. 1758-64.
PMID: 16256760
Related Citations
Psychosocial And Environmental Correlates Of Adolescent Sedentary Behaviors
Authors: Norman G.J.
, Schmid B.A.
, Sallis J.F.
, Calfas K.J.
, Patrick K.
.
Source: Pediatrics, 2005 Oct; 116(4), p. 908-16.
PMID: 16199700
Related Citations
Comparability And Reliability Of Paper- And Computer-based Measures Of Psychosocial Constructs For Adolescent Physical Activity And Sedentary Behaviors
Authors: Norman G.J.
, Sallis J.F.
, Gaskins R.
.
Source: Research Quarterly For Exercise And Sport, 2005 Sep; 76(3), p. 315-23.
PMID: 16270708
Related Citations
Keeping It Simple: Encouraging Walking As A Means To Active Living
Authors: Norman G.J.
, Mills P.J.
.
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2004 Dec; 28(3), p. 149-51.
PMID: 15576251
Related Citations
Diet, Physical Activity, And Sedentary Behaviors As Risk Factors For Overweight In Adolescence
Authors: Patrick K.
, Norman G.J.
, Calfas K.J.
, Sallis J.F.
, Zabinski M.F.
, Rupp J.
, Cella J.
.
Source: Archives Of Pediatrics & Adolescent Medicine, 2004 Apr; 158(4), p. 385-90.
PMID: 15066880
Related Citations